| NPI | 1952504987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA LIVIERATOS Single Member 248-620-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301064240) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2015-05-04 |